US6552077B2 - Albumin-binding compounds that prevent nonenzymatic glycation and that may be used for treatment of glycation-related pathologies - Google Patents

Albumin-binding compounds that prevent nonenzymatic glycation and that may be used for treatment of glycation-related pathologies Download PDF

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US6552077B2
US6552077B2 US09/817,940 US81794001A US6552077B2 US 6552077 B2 US6552077 B2 US 6552077B2 US 81794001 A US81794001 A US 81794001A US 6552077 B2 US6552077 B2 US 6552077B2
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phenylacetic acid
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Margo P. Cohen
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Exocell Inc
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Priority claimed from PCT/US1997/002622 external-priority patent/WO1997029746A1/en
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    • A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A61K31/192—Carboxylic acids, e.g. valproic acid having aromatic groups, e.g. sulindac, 2-aryl-propionic acids, ethacrynic acid 
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    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/196—Carboxylic acids, e.g. valproic acid having an amino group the amino group being directly attached to a ring, e.g. anthranilic acid, mefenamic acid, diclofenac, chlorambucil
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    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A—HUMAN NECESSITIES
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    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404—Indoles, e.g. pindolol
    • A61K31/405—Indole-alkanecarboxylic acids; Derivatives thereof, e.g. tryptophan, indomethacin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/54—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
    • A61K31/5415—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with carbocyclic ring systems, e.g. phenothiazine, chlorpromazine, piroxicam
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00—Drugs for disorders of the urinary system
    • A61P13/12—Drugs for disorders of the urinary system of the kidneys
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00—Drugs for disorders of the metabolism
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00—Drugs for disorders of the metabolism
    • A61P3/06—Antihyperlipidemics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00—Drugs for disorders of the metabolism
    • A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
    • A—HUMAN NECESSITIES
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    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P9/14—Vasoprotectives; Antihaemorrhoidals; Drugs for varicose therapy; Capillary stabilisers
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C229/00—Compounds containing amino and carboxyl groups bound to the same carbon skeleton
    • C07C229/40—Compounds containing amino and carboxyl groups bound to the same carbon skeleton having amino groups bound to carbon atoms of at least one six-membered aromatic ring and carboxyl groups bound to acyclic carbon atoms of the same carbon skeleton
    • C07C229/42—Compounds containing amino and carboxyl groups bound to the same carbon skeleton having amino groups bound to carbon atoms of at least one six-membered aromatic ring and carboxyl groups bound to acyclic carbon atoms of the same carbon skeleton with carboxyl groups linked to the six-membered aromatic ring, or to the condensed ring system containing that ring, by saturated carbon chains

Definitions

  • the present invention is directed to the discovery of compositions that inhibit the nonenzymatic attachment of glucose to albumin, preventing the formation of glycated albumin.
  • the compounds are useful in preventing and treating disorders of the kidney and other organs that result from deleterious effects of glycated albumin.
  • Glycated albumin which is formed by the condensation of glucose with reactive protein amino groups, adversely affects capillary function, structure and metabolism. Experimental studies have shown that this glycated protein has distinct biologic effects that the nonglycated counterpart does not possess. These effects include facilitated transport across capillary filtration barriers and hyperfiltration in the kidney, and stimulation of nitric oxide synthase and nitric oxide production, increased synthesis of extracellular matrix proteins, and activation of cytokine and growth factor systems in kidney and vascular tissue.
  • Such agents may be monoclonal antibodies or other molecules that react specifically with fructosyllysine residues that are present on glycated albumin but are not present on nonglycated albumin, and which are disclosed in U.S. Pat. No. 5,223,392 and U.S. Pat. No. 5,518,720, incorporated by reference herein.
  • Such therapies have been shown, among other things, to prevent the structural and functional changes characteristic of renal and retinal microvascular disease.
  • Anti-glycated albumin therapy therefore has been proposed as a treatment modality for vascular pathologies.
  • Binding to albumin is a likely prerequisite for a compound to prevent glycation of albumin and many compounds of diverse structural classes have been shown to bind to albumin at various sites. Examples include: vitamin C, vitamin E, vitamin B 6 , diclofenac, acetylsalicylic acid, warfarin, bilirubin, iodobenzoic acids, diazepam, digitoxin, clofibrate, methotrexate, lithium, phenobarbital, cyclosporin benzodiazepine, paracetamol, ibuprofen, suprofen, aminodarone, propanolol, griseofulvan, and others.
  • agents that bind to fructosyllysine residues on albumin and, in so doing, prevent pathobiologic effects of glycated albumin provide a useful tool for elucidating which albumin binding ligands are potentially important in preventing the formation of glycated sites that are pathophysiologically important.
  • the present invention provides novel compounds that inhibit the nonenzymatic glycation of albumin at physiologically relevant sites.
  • the present invention also provides improved methods of synthesis of 2-phenylamino-phenylacetic acid derivatives.
  • the present invention further provides novel compositions for preventing and treating glycation-induced pathologies.
  • the present invention evolved from the finding that glycation-associated pathologies can be ameliorated by ligand compounds that bind to specific glycated sites on albumin.
  • a novel finding of the present invention is that these ligands can be used to identify other compounds that prevent glycation of pathophysiologically important sites in the albumin molecule that are selectively subject to glycation in vivo and that, when glycated, cause deleterious biologic effects in relevant tissues.
  • the present invention further finds that these compounds can be identified by their ability to prevent, in their binding to albumin, the formation of fructosyllysine epitopes in glycated albumin that are recognized by monoclonal antibodies that are site selective for fructosyl-lysine residues that are known to be involved in glycation-associated pathologies.
  • Compounds of the present invention are capable of binding to sites in the primary structure of albumin which contain a lysine residue that is a preferential site of nonenzymatic glycation in vivo and/or cause a conformational shift in the tertiary structure of the protein, rendering the glycatable site inaccessible to glucose attachment.
  • Compounds which are potentially useful are those which are capable of binding albumin and include but are not limited to: vitamin C, vitamin E, vitamin B 6 , diclofenac, acetylsalicylic acid, warfarin, bilirubin, iodobenzoic acids, diazepam, digitoxin, clofibrate, methotrexate, lithium, phenobarbital, cyclosporin benzodiazepine, paracetamol, ibuprofen, suprofen, aminodarone, propanolol, griseofulvan, and others.
  • a subset of therapeutically useful compounds can be identified with the monoclonal antibody A717 which binds to fructosyl-lysine residues on albumin and, in so doing, blocks the effects of glycated albumin on vascular pathology.
  • Compounds which prevent the formation of glycated sites recognized by A717 will be therapeutically useful.
  • Compounds of the present invention possessing this activity are of the structural formula:
  • X is hydrogen, sodium, lithium or potassium and R′ 3 , R′ 4 , R′ 5 , R′ 6 , R 2 , R3, R 4 , R 5 , R 6 are the same or different and are hydrogen, chlorine, bromine, fluorine, iodine, methyl, ethyl, propyl, isopropyl, butyl, pentyl, butyloxy, pentyloxy, cyano, thio, methoxy, ethoxy, hydroxy, phosphate, sulfate, nitrate, or amino.
  • the compounds of the present invention can be tested and selected for low cyclo-oxygenase inhibitory activity and high anti-glycation activity, since some compounds of this structural class have been associated with cyclo-oxygenase inhibitory activity. It is a finding of this invention that this property confers therapeutic advantage by achieving potent inhibition of albumin glycation and lessening untoward side-effects of cyclo-oxygenase inhibition when administered in vivo.
  • the compounds of the present invention are capable of preventing cellular and tissue damage that is evoked by glycated albumin that is present in the circulation. Since therapeutic concentrations of the compounds of the present invention can inhibit the formation of glycated albumin with high IC 50 (the concentration giving 50% inhibition) ratios of anti-glycation to cyclo-oxygenase inhibitory activities, the present invention provides a novel and improved method for the treatment of glycation-related pathologies.
  • Scheme 1 describes the synthesis of substituted diphenylamines and the subsequent condensation of the appropriate diphenylamines with refluxing chloracetyl chloride to yield the substituted 2-chloro-N-phenylacetanilides. Cyclization is achieved by heating at 160° C. in a melt with AlCl 3 . Hydrolysis of the substituted N-aryloxindoles with NaOH in refluxing ethanolic solution followed by acidification gives the 2-(phenylamino)phenylacetic acids.
  • scheme 2 Since alkyl migration and splitting of alkoxy groups can occur during the cyclization reaction above, scheme 2 is beneficial in certain cases.
  • substituted diphenylamines are treated with oxalyl chloride in benzene followed by cyclization of the N-phenyloxamic acid chloride with AlCl 3 in tetrachloroethane to yield N-arylisatins.
  • Hydrolysis and acidification gives the corresponding phenylglyoxylic acids which are then reduced and acidified to produce the 2-(phenylamino)phenylacetic acids.
  • Schemes 1 and 2 are general routes to 2-(phenylamino)phenyl acetic acids, provided that both ortho positions of one phenyl ring of the diphenylamines are occupied in order to avoid the formation of positional isomers of the intermediate oxindoles and isatins.
  • Schemes 3 and 4 are synthetic routes that avoid the formation of isomers.
  • potassium 2-iodophenyl acetate is reacted with substituted anilines in the presence of potassium carbonate and activated copper powder in hot N-methyl-2-pyrrolidone. Acidification and crystallization yields the 2-(phenylamino) phenylacetic acids.
  • Scheme 4 involves the condensation of N,N-dimethyl-2-iodophenylacetamide and anilines in the presence of anhydrous potassium carbonate, copper, and cuprous iodide in refluxing toluene to give the substituted N,N-dimethyl-2-(phenylamino)phenylacetamides. Hydrolysis with KOH in refluxing ethanol followed by acidification yields the 2-(phenylamino)phenylacetic acids.
  • Hydroxylated compounds with additional methoxy groups are prepared by hydrogenation of he corresponding benzyloxy analogues with Pd—C in tetrahydrofuran and 1,2-dichlorobenzene (scheme 6).
  • This invention provides an improved method of synthesis of 2-(phenylamino)phenylacetic acids.
  • scheme 7 produces the 2-(phenylamino)phenylacetic acid from a direct condensation of a phenylacetic acid with an aniline.
  • the phenylacetic acid contains a reactive bromine
  • the amount of aniline is reduced
  • the reaction time is reduced
  • the potassium carbonate is reduced to prevent oxidation of the reaction products
  • the N-methylpyrrolidone is reduced to accelerate the bimolecular reaction
  • reduced amounts of freshly prepared, activated copper is used.
  • This invention also provides therapeutic compositions comprising the above-described compounds.
  • This invention further provides a method for treating disease comprising administering to the patient an effective amount of a therapeutic composition comprised of the above-described compound(s) capable of inhibiting albumin glycation and a pharmaceutically acceptable carrier therefor.
  • the present invention also comprises one or more compounds as described above formulated into compositions together with one or more non-toxic physiologically acceptable carriers, adjuvants or vehicles which are collectively referred to herein as carriers, for parenteral injection for oral administration in solid or liquid form, for rectal or topical administration, or the like.
  • the compositions can be administered to humans either orally, rectally, parenterally (intravenously, intramuscularly or subcutaneously), intracistemally, intravaginally, intraperitoneally, intravesically, locally (powders, ointments or drops), or as a buccal or nasal spray.
  • compositions suitable for parenteral injection may comprise physiologically acceptable sterile aqueous or nonaqueous solutions, dispersions, suspensions or emulsions and sterile powders for reconstitution into sterile injectable solutions or dispersions.
  • suitable aqueous and nonaqueous carriers, diluents, solvents or vehicles include water, ethanol, polyols (propyleneglycol, polyethyleneglycol, glycerol, and the like), suitable mixtures thereof, vegetable oils (such as olive oil) and injectable organic esters such as ethyl oleate.
  • Proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersions and by the use of surfactants.
  • compositions may also contain adjuvants such as preserving, wetting, emulsifying, and dispensing agents.
  • adjuvants such as preserving, wetting, emulsifying, and dispensing agents.
  • Prevention of the action of microorganisms can be ensured by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, and the like.
  • isotonic agents for example sugars, sodium chloride and the like.
  • Prolonged absorption of the injectable pharmaceutical form can be brought about by the use of agents delaying absorption, for example, aluminum monostearate and gelatin.
  • Solid dosage forms for oral administration include capsules, tablets, pills, powders and granules.
  • the active compound is admixed with at least one inert customary, pharmaceutically acceptable, excipient (or carrier) such as sodium citrate or dicalcium phosphate or
  • fillers or extenders as for example, starches, lactose, sucrose, glucose, mannitol and silicic acid,
  • binders as for example, carboxymethylcellulose, alginates, gelatin, polyvinylpyrrolidone, sucrose and acacia
  • humectants as for example, glycerol
  • disintegrating agents as for example, agar—agar, calcium carbonate, potato or tapioca starch, alginic acid, certain complex silicates and sodium carbonate
  • solution retarders as for example paraffin
  • absorption accelerators as for example, quaternary ammonium compounds
  • Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethyleneglycols, and the like.
  • Solid dosage forms such as tablets, capsules, pills and granules can be prepared with coatings and shells, such as enteric coatings and others well known in the art. They may contain opacifying agents, and can also be of such composition that they release the active compound or compounds in a certain part of the intestinal tract in a delayed manner. Examples of embedding compositions which can be used are polymeric substances and waxes.
  • the active compounds can also be in microencapsulated form, if appropriate, with one or more of the above-mentioned excipients.
  • Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions, solutions, suspensions, syrups and elixirs.
  • the liquid dosage forms may contain inert diluents commonly used in the art, such as water or other solvents, solubilizing agents and emulsifiers, as for example, ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propyleneglycol, 1,3-butyleneglycol, dimethylformamide, oils, in particular, cottonseed oil, groundnut oil, corn germ oil, olive oil, castor oil and sesame oil, glycerol, tetrahydrofurfuryl alcohol, polyethyleneglycols and fatty acid esters of sorbitan or mixtures of these substances, and the like.
  • inert diluents commonly used in the art, such as water or other solvents, solubilizing agents
  • composition can also include adjuvants, such as wetting agents, emulsifying and suspending agents, sweetening, flavoring and perfuming agents.
  • adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring and perfuming agents.
  • Suspensions in addition to the active compounds, may contain suspending agents, as for example, ethoxylated isostearyl alcohols, polyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar—agar and tragacanth, or mixtures of these substances, and the like.
  • suspending agents as for example, ethoxylated isostearyl alcohols, polyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar—agar and tragacanth, or mixtures of these substances, and the like.
  • compositions for rectal or vaginal administration are preferably suppositories which can be prepared by mixing the compounds of the present invention with suitable non-irritating excipients or carriers such as cocoa butter, polethyleneglycol or a suppository wax, which are solid at ordinary temperatures but liquid at body temperature and therefore, melt in the rectum or vaginal cavity and release the active component.
  • suitable non-irritating excipients or carriers such as cocoa butter, polethyleneglycol or a suppository wax, which are solid at ordinary temperatures but liquid at body temperature and therefore, melt in the rectum or vaginal cavity and release the active component.
  • Dosage forms for topical administration of a compound of this invention include ointments, powders, sprays and inhalants.
  • the active component is admixed under sterile conditions with a physiologically acceptable carrier and any preservatives, buffers or propellants as may be required.
  • Ophthalmic formulations, eye ointments, powders and solutions are also contemplated as being within the scope of this invention.
  • compositions of the present invention may be varied so as to obtain an amount of active ingredient that is effective to obtain a desired therapeutic response for a particular composition and method of administration.
  • the selected dosage level therefore depends upon the desired therapeutic effect, on the route of administration, on the desired duration of treatment and other factors.
  • the total daily dose of the compounds of this invention administered to a host in single or divided dose may be in amounts, for example, of from about 1 nanomol to about 100 micromols per kilogram of body weight. Dosage unit compositions may contain such amounts or such submultiples therefor as may be used to make up the daily dose. It will be understood, however, that the specified dose level for any particular patient will depend upon a variety of factors including the body weight, general health, sex, diet, time and route of administration, rates of absorption and excretion, combination with other drugs and the severity of the particular disease being treated. The dosage level may also depend on patient response as determined by measurement of the concentration of glycated albumin in the circulation at suitable intervals after administration.
  • Human albumin (10 mg/ml) was incubated for 4 days in buffered saline in the presence of 0 or 40 mM glucose, with or without the test compound (1-1000 ⁇ M). After dialysis to remove free glucose and compound, the amount of glycated albumin formed was determined by enzyme-linked immunosorbent assay using monoclonal antibodies known to specifically react with Amadori-glucose adducts in glycated albumin and to be unreactive with the nonglycated protein (ATCC HB 9596; U.S. Pat. No. 5,223,392), incorporated by reference herein. In vivo administration of this anti-glycated albumin antibody is also known to prevent the adverse biologic effects of glycated albumin.
  • 2-[(3-chlorophenyl) amino]phenylacetic acid showed the greatest ability to prevent glycation of the physiologically important sites that are recognized by the site-specific antibodies reactive with fructosyllysine residues that are formed in vivo as a result of nonenzymatic glycation.
  • Protocols described in the art employ 1 equivalent of bromophenylacetic acid, 5 equivalents of the aniline, 4 equivalents of anhydrous potassium carbonate, and 1 equivalent of copper powder, that are mixed and refluxed in 30 ml methyl pyrrolidine for 20 hours at 120° C., followed by treatment with hot water and then chloroform to precipitate the potassium salt of the anilinophenylacetic acid.
  • Application of the prior art methods yielded tarry reaction products that failed to form any precipitate, contained several compounds, and showed only a trace of the desired compound.
  • the improved method of synthesis a) reduces reaction time to 4 hours; b) maintains reaction temperature between 115-120° C.; c) reduces the amount of aniline to two equivalents per equivalent of bromophenylacetic acid; d) reduces the potassium carbonate to two equivalents (one to neutralize the bromo acid and one for neutralizing the hydrobromic acid generated in the reaction), since excess potassium carbonate caused base-catalyzed oxidation of the reaction products; e) reduces the amount of N-methyl pyrrolidine 10 fold to accelerate the bimolecular reaction and enable isolation of the final product; and f) uses freshly activated copper instead of copper powder, and reduces the amount to 7 mole percent of the bromophenylacetic acid used.
  • 2-bromophenylacetic acid (25 mmol) was added to a mixture of 50 mmol of aniline, 50 mmol of anhydrous potassium carbonate, (7%) mmol of activated copper powder, and 3 ml of N-methylpyrrolidone at 120° C. The mixture was kept at 120° C. for 4 h with stirring. The resulting slightly grayish mixture was filtered while hot through a bed of Celite and the Celite was washed with water (200 ml) and hexane (200 ml). The filtrate was transferred to a separating funnel and extracted with hexane and cooled to room temperature.
  • the aqueous layer was removed, cooled to 5° C., and neutralized with dilute hydrochloric acid (1:3) which was also kept at 5° C.
  • the precipitated 2-[(phenyl)amino]phenylacetic acid was collected by filtration, thoroughly washed with water, and dried under suction.
  • Oxalyl chloride (0.5 mol) was added dropwise at 5° C. to a solution of 2,6-dichloro-4-methoxydiphenylamine (0.25 mol) in 375 ml of benzene. The mixture was stirred for 2 h at room temperature and evaporated. The residue was dissolved in 400 ml of benzene and the solution was again evaporated to dryness to obtain N-(2,6-dichloro-4-methoxyphenyl)oxaniloyl chloride. This intermediate was dissolved in 600 ml of tetrachloroethane. AlCl 3 (40 g) was added slowly, and the mixture was stirred for 20 h at room temperature.
  • Human albumin (10 mg/ml) was incubated for 48-144 hours at 37° C. in the presence of 0-50 mM glucose in buffered saline, without or with the test compound in varying concentrations (1-1000 ⁇ M). After dialysis to remove free glucose and compound, the amount of glycated albumin formed was determined by enzyme-linked immunosorbent assay using the monoclonal antibodies known to specifically react with Amadori-glucose adducts in glycated albumin and to be unreactive with the nonglycated protein.
  • the presence of glucose in the incubations promotes the nonenzymatic glycation of albumin, and the performance of paired incubations allows comparison of the amount of glycated albumin formed under control (0 glucose), stimulated (25-50 mM glucose), and inhibited (compound plus glucose) conditions. From these data, the IC 50 (concentration required for 50% inhibition) for glycation inhibition was calculated. The IC 50 ( ⁇ M) for inhibition of glycation by a representative sample of 2-(phenylamino)phenylacetic acid compounds is shown in Table 2.
  • mice were administered 3 to 10 mg/kg of 2-(2-chlorophenyl amino) phenylacetic acid or 2-(3-chlorophenylamino) phenylacetic acid, given in divided doses by intraperitoneal injection for 5 days. Blood was taken before the initiation of treatment and four hours after the last dosing at the conclusion of the treatment. After centrifugation to separate plasma from red cells, the plasma concentration of glycated albumin was determined by enzyme-linked immunosorbent assay using the monoclonal antibodies described in Example 1. As shown below, all of the 2-(phenylamino)phenylacetic acids tested produced a dose-related reduction in plasma glycated albumin concentrations.
  • Glycated Albumin ( ⁇ g/ml) Percent Dose Pre-treatment Post-treatment change 2-(3-chlorophenylamino) phenylacetic acid 5 mg/kg/day 854 697 ⁇ 18.4 10 mg/kg/day 647 352 ⁇ 45.6 2-(2-chlorophenylamino) phenylacetic acid 5 mg/kg/day 741 500 ⁇ 32.5 10 mg/kg/day 815 426 ⁇ 47.7 2-(2,6-dichlorophenylamino) phenylacetic acid 3 mg/kg/day 841 760 ⁇ 9.6 6 mg/kg/day 946 690 ⁇ 27.1
  • mice were treated for 8 weeks with 10 mg/kg/day of 2-(3-chlorophenylamino) phenylacetic acid in divided doses.
  • Urine samples were obtained at the initiation and termination of treatment for examination of protein excretion, which measures vascular dysfunction that is associated with glycation-related pathology As shown below, the reduction in glycated albumin was associated with a reduction in urine protein excretion.
  • a typical tablet contains 2-[(2-chlorophenyl)amino]phenylacetic acid (100 mg), pregelatirlized starch USP (82 mg), microcrystalline cellulose (82 mg), and magnesium stearate (1 mg).
  • 2-[(3-chlorophenyl)amino]phenylacetic acid can be formulated in place of 2-[(2-chlorophenyl)amino]phenyl acetic acid.
  • a typical liquid contains 2-[(2-chlorophenyl)amino]phenylacetic acid (50 mg), sodium phosphate dibasic (50 mg), ethyl alcohol (0.5 ml), water (5 ml) and sweetening and/or flavoring agents.
  • other formulations can be made by substituting, for example, 2-[(3-chlorophenyl) amino]phenylacetic acid for 2-[(2-chlorophenyl)amino]phenylacetic acid.
  • a typical injectable formulation contains 2-[(2-chlorophenyl)amino]phenylacetic acid (25 mg) sodium phosphate dibasic (11.4 mg), benzyl alcohol (0.01 ml) and water for injection (1 ml).
  • this formulation can be prepared employing, for example, 2-[(3 chlorophenyl)amino] phenylacetic acid in place of 2-[(2 chlorophenyl)amino]phenylacetic acid.
  • Typical suppository formulations can contain 2-[(2 chlorophenyl)amino]phenylacetic acid (50 mg) butylated hydroxyanisol (0.1-1.0 mg), disodium calcium edetate (0.25-0.50 mg), and polyethyleneglycol (775-1600 mg).
  • suppository formulations can be made by substituting, for example, 2-[(3-chlorophenyl)amino]phenylacetic acid for 2-[(2-chlorophenyl)amino]phenylacetic acid and by substituting, for example, butylated hydroxytoluene (0.04-0.08 mg) for the disodium calcium edetate and a hydrogenated vegetable oil (678-1400 mg), such as Suppocire L, Wecobee FS, Wecobee M, Witepsols, and the like, for the polyethylene glycol.

Abstract

The present invention is directed to compositions that inhibit the nonenzymatic glycation of albumin, as well as methods of using compounds that inhibit albumin glycation for the treatment of glycation-related pathologies.

Description

RELATED APPLICATIONS
This application is a divisional application of application Ser. No. 09/349,853, filed Jul. 8, 1999, entitled “ALBUMIN-BINDING COMPOUNDS THAT PREVENT NONENZYMATIC GLYCATION AND THAT MAY BE USED FOR TREATMENT OF GLYCATION-RELATED PATHOLOGIES” which was a continuation-in-part application of application Ser. No. 08/603,147. filed on Feb. 20, 1996, entitled “Prevention of Albumin Glycation and Complications of Diabetes with Albumin-Binding Compounds”, now abandoned, and of application Ser. No. 09/015,148 filed on Jan. 29, 1998 entitled “In Vivo Methods of Treatment to Prevent Kidney Dysfunction Using Substances that Inhibit Albumin Glycation”, which matured into U.S. Pat. No. 6,001,875. The entire disclosures of application Ser. No. 09/349,853. which matured into U.S. Pat. No. 6,355,680 B1, are incorporated by reference herein.
TECHNICAL FIELD OF INVENTION
The present invention is directed to the discovery of compositions that inhibit the nonenzymatic attachment of glucose to albumin, preventing the formation of glycated albumin. The compounds are useful in preventing and treating disorders of the kidney and other organs that result from deleterious effects of glycated albumin.
BACKGROUND OF THE INVENTION
Glycated albumin, which is formed by the condensation of glucose with reactive protein amino groups, adversely affects capillary function, structure and metabolism. Experimental studies have shown that this glycated protein has distinct biologic effects that the nonglycated counterpart does not possess. These effects include facilitated transport across capillary filtration barriers and hyperfiltration in the kidney, and stimulation of nitric oxide synthase and nitric oxide production, increased synthesis of extracellular matrix proteins, and activation of cytokine and growth factor systems in kidney and vascular tissue. These and other biologic effects of glycated albumin have been described in numerous scientific publications including Kidney International 42:875-881, 1992; Lab Investigation 51:27-35, 1997; Kidney International 45:475-484, 1994; Molecular & Cellular Biochemistry 125:19-25, 1993; Molecular & Cellular Biochemistry 151:61-67, 1995; Kidney International 53:631-638, 1998.
The described biologic activities are observed with concentrations of glycated albumin that are found in clinical specimens from human subjects, and do not depend on elevated glucose concentrations to be operative. Since the circulating half-life of albumin in humans is ≈17 days, there is prolonged exposure of vascular beds to the glycated protein after it is formed. The use of agents that block the effects of glycated albumin to ameliorate vascular pathologies has been explored in several scientific studies (Kidney International 45:1673-1679, 1994; Journal of Clinical Investigation 95:2338-2345, 1995; Diabetologia 39:270-274, 1996; Journal of Diabetic Complications 12:28-33, 1998). Such agents may be monoclonal antibodies or other molecules that react specifically with fructosyllysine residues that are present on glycated albumin but are not present on nonglycated albumin, and which are disclosed in U.S. Pat. No. 5,223,392 and U.S. Pat. No. 5,518,720, incorporated by reference herein. Such therapies have been shown, among other things, to prevent the structural and functional changes characteristic of renal and retinal microvascular disease. Anti-glycated albumin therapy therefore has been proposed as a treatment modality for vascular pathologies.
A novel approach to prevent pathologies related to the biologic effects of glycated albumin would be to reduce the formation of the glycated protein and to lower its concentration in the circulation. This could be accomplished by administering compounds that, by binding to specific sites in albumin, can inhibit the attachment of glucose to physiologically important lysine amino groups. The compounds would achieve this desired effect by obscuring the reactive lysine amino group and/or causing a conformational shift in the tertiary structure of the albumin molecule that renders the important glycatable site inaccessible.
Identification of compounds which prevent glycation at physiologically important sites is difficult to accomplish and has not been described in the art. In vitro glycation is distinctly different from in vivo glycation. Excessive concentrations of glucose or reducing carbohydrate are used, and the number of sites that undergo glycation is significantly increased relative to sites which are subject to glycation in vivo. Physiologically important sites are only a small subset of the total number of sites and cannot be distinguished from the unimportant ones after in vitro glycation according to methods described in the art.
Binding to albumin is a likely prerequisite for a compound to prevent glycation of albumin and many compounds of diverse structural classes have been shown to bind to albumin at various sites. Examples include: vitamin C, vitamin E, vitamin B6, diclofenac, acetylsalicylic acid, warfarin, bilirubin, iodobenzoic acids, diazepam, digitoxin, clofibrate, methotrexate, lithium, phenobarbital, cyclosporin benzodiazepine, paracetamol, ibuprofen, suprofen, aminodarone, propanolol, griseofulvan, and others. But binding to albumin is not sufficient for antiglycation activity. Only a few compounds have been reported to influence the condensation of carbohydrate with reactive protein amino groups in vitro, and none of them have been shown to affect lysine amino groups that are physiologically important in vivo or to be of therapeutic benefit when administered in vivo with respect to glycation-related pathologies (Biochemical & Biophysical Research Communications 165:991-996, 1988; Life Sciences 43:1725-1731, 1988; Diabete & Metabolisme 14:40-42, 1988; Biochemica et Biophysica Acta 1120:201-204, 1992; Diabetes 41:167-173, 1992). Moreover, the conditions employed in such in vitro studies are irrelevant to in vivo conditions as to degree of glycation, the reducing sugar and concentration used, and the concentration of compound tested. Binding to albumin and inhibition of in vitro glycation is not synonymous with prevention of glycation at physiologically important sites.
It is a finding of the present invention that many compounds bind to albumin and inhibit glycation at unimportant sites but do not prevent glycation at physiologically important sites.
It is another finding of the present invention that agents that bind to fructosyllysine residues on albumin and, in so doing, prevent pathobiologic effects of glycated albumin provide a useful tool for elucidating which albumin binding ligands are potentially important in preventing the formation of glycated sites that are pathophysiologically important.
The present invention is directed toward discovery of albumin-binding compounds that block non-enzymatic glycation of physiologically important sites-which, when glycated, lead to vascular pathologies. The present invention is further directed to methods of use of these novel agents for the treatment of glycation-related pathologies, and novel methods of synthesis of these agents.
SUMMARY OF THE INVENTION
The present invention provides novel compounds that inhibit the nonenzymatic glycation of albumin at physiologically relevant sites.
The present invention also provides improved methods of synthesis of 2-phenylamino-phenylacetic acid derivatives.
The present invention further provides novel compositions for preventing and treating glycation-induced pathologies.
These and other objects of the invention are achieved with the discovery of compounds that are reactive with domain(s) in human albumin that are susceptible to nonenzymatic glycation in vivo; that, by binding to the sites in the structure of albumin, protect the protein from attachment to glucose.
DETAILED DESCRIPTION
The present invention evolved from the finding that glycation-associated pathologies can be ameliorated by ligand compounds that bind to specific glycated sites on albumin. A novel finding of the present invention is that these ligands can be used to identify other compounds that prevent glycation of pathophysiologically important sites in the albumin molecule that are selectively subject to glycation in vivo and that, when glycated, cause deleterious biologic effects in relevant tissues. The present invention further finds that these compounds can be identified by their ability to prevent, in their binding to albumin, the formation of fructosyllysine epitopes in glycated albumin that are recognized by monoclonal antibodies that are site selective for fructosyl-lysine residues that are known to be involved in glycation-associated pathologies.
It is a finding of the present invention that compounds are identified that, by binding to human albumin and protecting the protein from nonenzymatic glycation at pathophysiologically important sites, are therapeutically useful for the treatment of glycation-related pathologies.
Compounds of the present invention are capable of binding to sites in the primary structure of albumin which contain a lysine residue that is a preferential site of nonenzymatic glycation in vivo and/or cause a conformational shift in the tertiary structure of the protein, rendering the glycatable site inaccessible to glucose attachment.
Compounds which are potentially useful are those which are capable of binding albumin and include but are not limited to: vitamin C, vitamin E, vitamin B6, diclofenac, acetylsalicylic acid, warfarin, bilirubin, iodobenzoic acids, diazepam, digitoxin, clofibrate, methotrexate, lithium, phenobarbital, cyclosporin benzodiazepine, paracetamol, ibuprofen, suprofen, aminodarone, propanolol, griseofulvan, and others.
A subset of therapeutically useful compounds can be identified with the monoclonal antibody A717 which binds to fructosyl-lysine residues on albumin and, in so doing, blocks the effects of glycated albumin on vascular pathology. Compounds which prevent the formation of glycated sites recognized by A717 will be therapeutically useful. Compounds of the present invention possessing this activity are of the structural formula:
Figure US06552077-20030422-C00001
wherein: X is hydrogen, sodium, lithium or potassium and R′3, R′4, R′5, R′6, R2, R3, R4, R5, R6 are the same or different and are hydrogen, chlorine, bromine, fluorine, iodine, methyl, ethyl, propyl, isopropyl, butyl, pentyl, butyloxy, pentyloxy, cyano, thio, methoxy, ethoxy, hydroxy, phosphate, sulfate, nitrate, or amino.
The compounds of the present invention can be tested and selected for low cyclo-oxygenase inhibitory activity and high anti-glycation activity, since some compounds of this structural class have been associated with cyclo-oxygenase inhibitory activity. It is a finding of this invention that this property confers therapeutic advantage by achieving potent inhibition of albumin glycation and lessening untoward side-effects of cyclo-oxygenase inhibition when administered in vivo.
The compounds of the present invention are capable of preventing cellular and tissue damage that is evoked by glycated albumin that is present in the circulation. Since therapeutic concentrations of the compounds of the present invention can inhibit the formation of glycated albumin with high IC50 (the concentration giving 50% inhibition) ratios of anti-glycation to cyclo-oxygenase inhibitory activities, the present invention provides a novel and improved method for the treatment of glycation-related pathologies.
The compounds of this structural class (2-(phenylamino)phenylacetic acids) can be produced following the methods outlined in schemes 1-6. Scheme 1 describes the synthesis of substituted diphenylamines and the subsequent condensation of the appropriate diphenylamines with refluxing chloracetyl chloride to yield the substituted 2-chloro-N-phenylacetanilides. Cyclization is achieved by heating at 160° C. in a melt with AlCl3. Hydrolysis of the substituted N-aryloxindoles with NaOH in refluxing ethanolic solution followed by acidification gives the 2-(phenylamino)phenylacetic acids.
Figure US06552077-20030422-C00002
Since alkyl migration and splitting of alkoxy groups can occur during the cyclization reaction above, scheme 2 is beneficial in certain cases. In this scheme substituted diphenylamines are treated with oxalyl chloride in benzene followed by cyclization of the N-phenyloxamic acid chloride with AlCl3 in tetrachloroethane to yield N-arylisatins. Hydrolysis and acidification gives the corresponding phenylglyoxylic acids which are then reduced and acidified to produce the 2-(phenylamino)phenylacetic acids.
Figure US06552077-20030422-C00003
Schemes 1 and 2 are general routes to 2-(phenylamino)phenyl acetic acids, provided that both ortho positions of one phenyl ring of the diphenylamines are occupied in order to avoid the formation of positional isomers of the intermediate oxindoles and isatins. Schemes 3 and 4 are synthetic routes that avoid the formation of isomers. In scheme 3, potassium 2-iodophenyl acetate is reacted with substituted anilines in the presence of potassium carbonate and activated copper powder in hot N-methyl-2-pyrrolidone. Acidification and crystallization yields the 2-(phenylamino) phenylacetic acids.
Figure US06552077-20030422-C00004
Scheme 4 involves the condensation of N,N-dimethyl-2-iodophenylacetamide and anilines in the presence of anhydrous potassium carbonate, copper, and cuprous iodide in refluxing toluene to give the substituted N,N-dimethyl-2-(phenylamino)phenylacetamides. Hydrolysis with KOH in refluxing ethanol followed by acidification yields the 2-(phenylamino)phenylacetic acids.
Figure US06552077-20030422-C00005
Hydroxylated 2-(phenylamio)phenylacetic acids are synthesized from the appropriately substituted methoxy-2-(phenylamino)phenylacetic acids (prepared by scheme 2 and 4). In scheme 5, the methoxy-derivatives are treated with pyridine hydrochloride at 170° C. which gives the hydroxy substituted N-phenyloxindoles. Hydrolysis with NaOH in refluxing N-butanol completes the synthesis.
Figure US06552077-20030422-C00006
Hydroxylated compounds with additional methoxy groups are prepared by hydrogenation of he corresponding benzyloxy analogues with Pd—C in tetrahydrofuran and 1,2-dichlorobenzene (scheme 6).
Figure US06552077-20030422-C00007
Figure US06552077-20030422-C00008
This invention provides an improved method of synthesis of 2-(phenylamino)phenylacetic acids. Analogous to schemes 3 and 4, scheme 7 produces the 2-(phenylamino)phenylacetic acid from a direct condensation of a phenylacetic acid with an aniline. In this scheme, the phenylacetic acid contains a reactive bromine, the amount of aniline is reduced, the reaction time is reduced, the potassium carbonate is reduced to prevent oxidation of the reaction products, the N-methylpyrrolidone is reduced to accelerate the bimolecular reaction, and reduced amounts of freshly prepared, activated copper is used. This method improved yields of the desired product with little formation of oxyindoles or oxidation products.
This invention also provides therapeutic compositions comprising the above-described compounds.
This invention further provides a method for treating disease comprising administering to the patient an effective amount of a therapeutic composition comprised of the above-described compound(s) capable of inhibiting albumin glycation and a pharmaceutically acceptable carrier therefor.
The present invention also comprises one or more compounds as described above formulated into compositions together with one or more non-toxic physiologically acceptable carriers, adjuvants or vehicles which are collectively referred to herein as carriers, for parenteral injection for oral administration in solid or liquid form, for rectal or topical administration, or the like. The compositions can be administered to humans either orally, rectally, parenterally (intravenously, intramuscularly or subcutaneously), intracistemally, intravaginally, intraperitoneally, intravesically, locally (powders, ointments or drops), or as a buccal or nasal spray.
Compositions suitable for parenteral injection may comprise physiologically acceptable sterile aqueous or nonaqueous solutions, dispersions, suspensions or emulsions and sterile powders for reconstitution into sterile injectable solutions or dispersions. Examples of suitable aqueous and nonaqueous carriers, diluents, solvents or vehicles include water, ethanol, polyols (propyleneglycol, polyethyleneglycol, glycerol, and the like), suitable mixtures thereof, vegetable oils (such as olive oil) and injectable organic esters such as ethyl oleate. Proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersions and by the use of surfactants.
These compositions may also contain adjuvants such as preserving, wetting, emulsifying, and dispensing agents. Prevention of the action of microorganisms can be ensured by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, and the like. It may also be desirable to include isotonic agents, for example sugars, sodium chloride and the like. Prolonged absorption of the injectable pharmaceutical form can be brought about by the use of agents delaying absorption, for example, aluminum monostearate and gelatin.
Solid dosage forms for oral administration include capsules, tablets, pills, powders and granules. In such solid dosage forms, the active compound is admixed with at least one inert customary, pharmaceutically acceptable, excipient (or carrier) such as sodium citrate or dicalcium phosphate or (a) fillers or extenders, as for example, starches, lactose, sucrose, glucose, mannitol and silicic acid, (b) binders, as for example, carboxymethylcellulose, alginates, gelatin, polyvinylpyrrolidone, sucrose and acacia, (c) humectants, as for example, glycerol, (d) disintegrating agents, as for example, agar—agar, calcium carbonate, potato or tapioca starch, alginic acid, certain complex silicates and sodium carbonate, (e) solution retarders, as for example paraffin, (absorption accelerators, as for example, quaternary ammonium compounds, (g) wetting agents, as for example, cetyl alcohol and glycerol monostearate, (h) adsorbents, as for example, kaolin and bentonite, and (i) lubricants, as for example, talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate or mixtures thereof. In the case of capsules, tablets and pills, the dosage forms may also comprise buffering agents.
Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethyleneglycols, and the like. Solid dosage forms such as tablets, capsules, pills and granules can be prepared with coatings and shells, such as enteric coatings and others well known in the art. They may contain opacifying agents, and can also be of such composition that they release the active compound or compounds in a certain part of the intestinal tract in a delayed manner. Examples of embedding compositions which can be used are polymeric substances and waxes.
The active compounds can also be in microencapsulated form, if appropriate, with one or more of the above-mentioned excipients.
Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions, solutions, suspensions, syrups and elixirs. In addition to the active compounds, the liquid dosage forms may contain inert diluents commonly used in the art, such as water or other solvents, solubilizing agents and emulsifiers, as for example, ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propyleneglycol, 1,3-butyleneglycol, dimethylformamide, oils, in particular, cottonseed oil, groundnut oil, corn germ oil, olive oil, castor oil and sesame oil, glycerol, tetrahydrofurfuryl alcohol, polyethyleneglycols and fatty acid esters of sorbitan or mixtures of these substances, and the like.
Besides such inert diluents, the composition can also include adjuvants, such as wetting agents, emulsifying and suspending agents, sweetening, flavoring and perfuming agents.
Suspensions, in addition to the active compounds, may contain suspending agents, as for example, ethoxylated isostearyl alcohols, polyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar—agar and tragacanth, or mixtures of these substances, and the like.
Compositions for rectal or vaginal administration are preferably suppositories which can be prepared by mixing the compounds of the present invention with suitable non-irritating excipients or carriers such as cocoa butter, polethyleneglycol or a suppository wax, which are solid at ordinary temperatures but liquid at body temperature and therefore, melt in the rectum or vaginal cavity and release the active component.
Dosage forms for topical administration of a compound of this invention include ointments, powders, sprays and inhalants. The active component is admixed under sterile conditions with a physiologically acceptable carrier and any preservatives, buffers or propellants as may be required. Ophthalmic formulations, eye ointments, powders and solutions are also contemplated as being within the scope of this invention.
Actual dosage levels of active ingredients in the compositions of the present invention may be varied so as to obtain an amount of active ingredient that is effective to obtain a desired therapeutic response for a particular composition and method of administration. The selected dosage level therefore depends upon the desired therapeutic effect, on the route of administration, on the desired duration of treatment and other factors.
The total daily dose of the compounds of this invention administered to a host in single or divided dose may be in amounts, for example, of from about 1 nanomol to about 100 micromols per kilogram of body weight. Dosage unit compositions may contain such amounts or such submultiples therefor as may be used to make up the daily dose. It will be understood, however, that the specified dose level for any particular patient will depend upon a variety of factors including the body weight, general health, sex, diet, time and route of administration, rates of absorption and excretion, combination with other drugs and the severity of the particular disease being treated. The dosage level may also depend on patient response as determined by measurement of the concentration of glycated albumin in the circulation at suitable intervals after administration.
The above disclosure generally describes the present invention. A more complete understanding can be obtained by reference to the following specific examples which are provided herein for purposes of illustration only, and are not intended to limit the scope of the invention.
EXAMPLE 1
Identification of Compounds which Prevent the Glycation of Pathophysiologically Important Sites that are Subject to Glycation in vivo
Human albumin (10 mg/ml) was incubated for 4 days in buffered saline in the presence of 0 or 40 mM glucose, with or without the test compound (1-1000 μM). After dialysis to remove free glucose and compound, the amount of glycated albumin formed was determined by enzyme-linked immunosorbent assay using monoclonal antibodies known to specifically react with Amadori-glucose adducts in glycated albumin and to be unreactive with the nonglycated protein (ATCC HB 9596; U.S. Pat. No. 5,223,392), incorporated by reference herein. In vivo administration of this anti-glycated albumin antibody is also known to prevent the adverse biologic effects of glycated albumin. The performance of paired incubations allowed comparison of the amount of glycated albumin formed under control (0 mM glucose), stimulated (40 mM glucose) and inhibited (test compound plus glucose) conditions. From these data, compounds were identified which inhibit the formation of fructosyllysine epitopes in albumin at lysine amino sites that are subject to glycation in vivo and that are important for the biologic activity of glycated albumin. A representative sample of test compounds from different structural classes is shown in Table 1.
TABLE 1
Prevention of Albumin Glycation at Physiologically Significant Sites
IC50 for Albumin
Compound Class Glycation (μM)
2-[(3-chlorophenyl) amino]- Heteroaryl  15
benzene acetic acid acid
1-methyl-5-[p-toluoyl] pyrrole- Heteroaryl  11.5 × 104
2-acetic acid acetic acid
4-hydroxy-2-methyl-3-pyrid-[2- Enolic acid >106
yl-carbamoyl] 1H-1,2
benzathiazine 1,1-dioxide
2-[(2,6-dichloro-3-methyl- Anthranilic >106
phenyl)-amino] benzoic acid acid
α-methyl-4-[2-methyl) propyl)] Aryl propionic  7.8 × 104
benzene acetic acid acid
1-[p-chlorobenzoyl]-methoxy- Indole  2.7 × 104
2-methylindole-3-acetic acid acetic acid
[Z]-5-fluoro-2-methyl-1 Indole  2.2 × 104
[p-(methylsulfinyl) phenyl] acetic acid
(methylene-1H-indene-3-
acetic acid
Of these compounds, 2-[(3-chlorophenyl) amino]phenylacetic acid showed the greatest ability to prevent glycation of the physiologically important sites that are recognized by the site-specific antibodies reactive with fructosyllysine residues that are formed in vivo as a result of nonenzymatic glycation.
EXAMPLE 2
Improved Synthesis of 2-(phenylamino)phenylacetic Acids
One molar equivalent of bromophenylacetic acid or its cationic salt, two equivalents of an appropriately substituted aniline, and two equivalents of anhydrous potassium carbonate were mixed with 3 ml of N-methyl pyrrolidine and to this mixture 7 mole percent of freshly prepared activated copper was added. The reaction mixture was heated at 115-120° C. for 4 hours. The resulting slightly grayish mixture was filtered hot over a bed of Celite and the Celite was washed with water (200 ml) and hexane (200 ml). The filtrate was transferred to a separating funnel and extracted with hexane. The aqueous layer was cooled to 5° C. and neutralized with dilute hydrochloric acid (1:3) which also was kept at 5° C. The precipitated product was filtered, thoroughly washed with water, and dried under suction (30% yield based on bromophenylacetic acid).
This protocol for successful synthesis of the desired compound departs from described procedures and provides improved methods for synthesis of substituted anilines. Protocols described in the art employ 1 equivalent of bromophenylacetic acid, 5 equivalents of the aniline, 4 equivalents of anhydrous potassium carbonate, and 1 equivalent of copper powder, that are mixed and refluxed in 30 ml methyl pyrrolidine for 20 hours at 120° C., followed by treatment with hot water and then chloroform to precipitate the potassium salt of the anilinophenylacetic acid. Application of the prior art methods yielded tarry reaction products that failed to form any precipitate, contained several compounds, and showed only a trace of the desired compound. The improved method of synthesis a) reduces reaction time to 4 hours; b) maintains reaction temperature between 115-120° C.; c) reduces the amount of aniline to two equivalents per equivalent of bromophenylacetic acid; d) reduces the potassium carbonate to two equivalents (one to neutralize the bromo acid and one for neutralizing the hydrobromic acid generated in the reaction), since excess potassium carbonate caused base-catalyzed oxidation of the reaction products; e) reduces the amount of N-methyl pyrrolidine 10 fold to accelerate the bimolecular reaction and enable isolation of the final product; and f) uses freshly activated copper instead of copper powder, and reduces the amount to 7 mole percent of the bromophenylacetic acid used.
EXAMPLE 3
Synthesis of 2-[(phenyl)amino]phenylacetic Acid
2-bromophenylacetic acid (25 mmol) was added to a mixture of 50 mmol of aniline, 50 mmol of anhydrous potassium carbonate, (7%) mmol of activated copper powder, and 3 ml of N-methylpyrrolidone at 120° C. The mixture was kept at 120° C. for 4 h with stirring. The resulting slightly grayish mixture was filtered while hot through a bed of Celite and the Celite was washed with water (200 ml) and hexane (200 ml). The filtrate was transferred to a separating funnel and extracted with hexane and cooled to room temperature. The aqueous layer was removed, cooled to 5° C., and neutralized with dilute hydrochloric acid (1:3) which was also kept at 5° C. The precipitated 2-[(phenyl)amino]phenylacetic acid was collected by filtration, thoroughly washed with water, and dried under suction.
EXAMPLE 4
Synthesis of 2-[(2-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 2-chloroaniline to yield 2-[(2-chlorophenyl)amino]phenylacetic acid.
EXAMPLE 5
Synthesis of 2-[(3-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 3-chloroaniline to yield 2-[(3-chlorophenyl)amino]phenylacetic acid.
NMR (DM 50-d6: CH2 singlet at 3.7 ppm; appropriate aromatic protons with proper chemical shift; acid proton at 13 ppm
Elemental Analysis: C14H12ClNO2 (acid); C14H11ClNO2Na (salt)
TLC: Single spot
Melting point: 102-103° C.
EXAMPLE 6
Synthesis of 2-[(4-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 3,2-bromophenylacetic acid was condensed with 4 chloroaniline to yield 2-[(4-chlorophenyl)amino]phenylacetic acid.
EXAMPLE 7
Synthesis of 2-[(2,3-dichlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 2,3-dichloroaniline to yield 2-[(2,3-dichlorophenyl)amino]phenylacetic acid.
EXAMPLE 8
Synthesis of 2-[(2,4-dichlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 2,4-dichloroaniline to yield 2-[(2,4-dichlorophenyl)amino]phenylacetic acid.
EXAMPLE 9
Synthesis of 2-[(2,5-dichlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 2,5-dichloroaniline to yield 2-[(2,5-dichlorophenyl)amino]phenylacetic acid.
EXAMPLE 11
Synthesis of 2-[(3,4-dichlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 3,4-dichloroaniline to yield 2-[(3,4-dichlorophenyl)amino]phenylacetic acid.
EXAMPLE 12
Synthesis of 2-[(3,5-dichlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 3,5-dichloroaniline to yield 2-[(3,5-dichlorophenyl)amino]phenylacetic acid.
EXAMPLE 13
Synthesis of 2-[(2,6-dimethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 2,6-dimethylaniline to yield 2-[(2,6-dimethylphenyl]amino]phenylacetic acid.
EXAMPLE 14
Synthesis of 2-[(2,3-dimethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,3-dimethylaniline to yield 2-[(2,3-dimethylphenyl)amino]phenylacetic acid.
EXAMPLE 15
Synthesis of 2-[(2,4-dimethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,4-dimethylaniline to yield 2-[(2,4-dimethylphenyl)amino]phenylacetic acid.
EXAMPLE 16
Synthesis of 2-[(2,5-dimethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,5-dimethylaniline to yield 2-[(2,5-dimethylphenyl)amino]phenylacetic acid.
EXAMPLE 17
Synthesis of 2-[(3,4-dimethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3,4-dimethylaniline to yield 2-[(3,4-dimethylphenyl)amino]phenylacetic acid.
EXAMPLE 18
Synthesis of 2-[(3,5-dimethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3,5-dimethylaniline to yield 2-[(3,5-dimethylphenyl)amino]phenylacetic acid.
EXAMPLE 19
Synthesis of 2-[(2-methylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with o-toluidine to yield 2-[(2-methylphenyl)amino]phenylacetic acid.
EXAMPLE 20
Synthesis of 2-[(3-methylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with m-toluidine to yield 2-[(3-methylphenyl)amino]phenylacetic acid.
EXAMPLE 21
Synthesis of 2-[(4-methylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with p-toluidine to yield 2-[(4-methylphenyl)amino]phenylacetic acid.
EXAMPLE 22
Synthesis of 2-[(2,4,6-trichlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,4,6-trichloroaniline to yield 2-[(2,4,6-trichlorophenyl)amino]phenylacetic acid.
EXAMPLE 23
Synthesis of 2-[(2,6-dichloro-4-methoxyphenyl)amino]phenylacetic Acid
Oxalyl chloride (0.5 mol) was added dropwise at 5° C. to a solution of 2,6-dichloro-4-methoxydiphenylamine (0.25 mol) in 375 ml of benzene. The mixture was stirred for 2 h at room temperature and evaporated. The residue was dissolved in 400 ml of benzene and the solution was again evaporated to dryness to obtain N-(2,6-dichloro-4-methoxyphenyl)oxaniloyl chloride. This intermediate was dissolved in 600 ml of tetrachloroethane. AlCl3 (40 g) was added slowly, and the mixture was stirred for 20 h at room temperature. The mixture was then poured over 200 ml of 2N HCl containing 800 g of ice. The organic phase was washed with water, 2N KHCO3, again with water, and evaporated. Crystallization from ether yielded 1-(2,6-dichloro-4-methoxyphenyl)isatin. This intermediate was dissolved win 215 ml of 1N NaOH and 2100 ml of ethanol and was heated under reflux for 10 min. The solution was cooled and evaporated. The residue was dissolved in 2000 ml of water, washed with ether, and acidified with 2N HCl. The precipitate was extracted with ether. The organic extract gave, after washing with water, evaporation and crystallization for ether, the product 2-[2,6-dichloro4-methoxyphenyl)amino]glyoxylic acid. This intermediate (0.22 mol) was dissolved in 900 ml of 2-methoxyethanol. Hydrazine hydrate (1 mol) was added and the temperate of the mixture was increased to 60° C. NaOCH3 (2.3 mol) was added slowly and the mixture was slowly heated to 150° C., whereby methanol, water, hydrazine, and part of the solvent evaporated. The mixture was kept at 150° C. for 1 h, collected, and poured over 8 kg of crushed ice. The aqueous phase was extracted with 800 ml of ether and acidified with concentrated HCl at 0° C. The precipitated oil was extracted with ether. The ether extract was washed with water and evaporated. The residue was crystallized from ether-petroleum ether to yielded 2-[2,6-dichloro-4-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 24
Synthesis of 2-[(2,6-dichloro-4-hydroxyphenyl)amino]phenylacetic Acid
The 2-[(2,6-dichloro-4-methoxyphenyl)amino]phenylacetic acid (0.1 mol) from example 23 was added in portions to a melt of 200 g of pyridine hydrochloride (1.75 mol) at 170° C. The mixture was heated at 180° C. for 3 h and poured onto 2000 ml of ice water while hot. The precipitated product was filtered off, washed with water, and dissolved in 1000 ml of ethyl acetate. The organic phase was washed with 200 ml of 1N HCl in water (2×100 ml) and evaporated to give N-(2,6-dichloro-4-hydroxyphenyl)oxindole. To a solution of 8 g of N-(2,6-dichloro-4-hydroxyphenyl)-oxindole in 200 ml of n-butanol were added 7 g of NaOH and 1 g of KOH, and the reaction mixture was refluxed for 24 h and evaporated in vacuo. The residue was dissolved in 700 ml of water and the aqueous solution was extracted with ether (2×200 ml), cooled to 0° C., and acidified with concentrated HCl. The precipitate was taken up in 300 ml of ether. The organic phase was washed with 30 ml of water, 0.5N NaHCO3 (5×80 ml), and 80 ml of 2N KHCO3 solution. The combined NaHCO3 extracts were cooled to 0° C. and acidified with 2N HCl, and the precipitate was dissolved in 200 ml of ether. The organic layer was washed with 30 ml of water and evaporated to yield 2-[(2,6-dichloro-4-hydroxyphenyl)amino]phenylacetic acid.
EXAMPLE 25
Synthesis of 2-[(2,6-dichloro-3-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 23, 2,6-dichloro-3-methoxydiphenylamine was used to produce 2-[(2,6-dichloro-3-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 26
Synthesis of 2-[(2,6-dichloro-3-hydroxyphenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(2,6-dichloro-3-methoxyphenyl)amino]phenylacetic acid was converted to 2-[(2,6-dichloro-3-hydroxyphenyl)amino]phenylacetic acid.
EXAMPLE 27
Synthesis of 2-[(2,6-dichloro-3-methylphenyl)amino]phenylacetic Acid
A mixture of 2,6-dichloro-3-methyldiphenylamine (0.17 mol) and chloroacetyl chloride (0.5 mol) was refluxed for 16 h, cooled, and evaporated. The residue was dissolved in 500 ml of chloroform-ether (1:2). The organic phase was washed with 100 ml of 2N KHCO3 and 100 ml of water and evaporated. The residue was recrystallized from MEOH to give 2-chloro-N-(2′,6′-dichloro-3′-methylphenyl)-N-phenylacetamide. This intermediate (0.1 mol) and 30 g of AlCl3 were mixed, and the mixture was heated at 160° C. for 2 h (melting occurs at 100° C.). The molten mass was cooled and poured onto 300 g of crushed ice while the mixture was stirred. The precipitated oil was dissolved in 300 ml of chloroform. The organic phase was washed with 50 ml of 2N KHO3 and 50 ml of water and evaporated. Recrystallization from MEOH gave 1-(2,6-dichloro-3-methylphenyl) oxindole. A solution of 18.6 g of this intermediate, 66 ml of 2N NaOH, and 66 ml of EtOH was refluxed for 4 h. The clear solution was cooled in an ice bath for 4 h. The precipitated crystals were filtered off and recrystallized from 80 ml of water to yield 2-[(2,6-dichloro-3-methylphenyl) amino]phenylacetic acid.
EXAMPLE 28
Synthesis of 2-[(2,6-dichlorophenyl)amino]5′-methoxyphenylacetic Acid
In the manner described in example 23, 4′-methoxy-2,6-dichlorodiphenylamine was used to yield 2-[(2,6-dichlorophenyl)amino]5′-methoxyphenylacetic acid.
EXAMPLE 29
Synthesis of 2-[(2,6-dichlorophenyl)amino]5′-hydroxyphenylacetic Acid.
In the manner described in example 24, 2-[(2,6-dichlorophenyl)amino]5′-methoxyphenylacetic acid was converted to 2-[(2,6-dichlorophenyl)amino]5′-hydroxyphenylacetic acid.
EXAMPLE 30
Synthesis of 2-[(2-methyl-3-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-methyl-3-chloroaniline to yield 2-[2-methyl-3-chlorophenyl)amino]phenylacetic acid.
EXAMPLE 31
Synthesis of 2-[(2,6-dichlorophenyl)amino]6′-bromophenylacetic Acid
In the manner described in example 27, 5-bromo-2′,6′-dichlorodiphenylamine is used to yield 2-[(2,6-dichlorophenyl)amino]6′-bromophenylacetic acid.
EXAMPLE 32
Synthesis of 2-[(2-chloro-3-methylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-chloro-3-methylaniline to yield 2-[(2-chloro-3-methylphenyl)amino]phenylacetic acid.
EXAMPLE 33
Synthesis of 2-[(2-chloro-6-fluorophenyl)amino]phenylacetic Acid
In the manner described in example 27, 2-chloro-6-fluorodiphenylamine is used to yield 2-[(2-chloro-6-fluorophenyl)amino]phenylacetic acid.
EXAMPLE 34
Synthesis of 2-[(2,3,5,6-tetramethylphenyl)amino]5′-chlorophenylacetic Acid
In the manner described in example 23, 4-chloro-2′,3′,5′,6′-tetramethyldiphenylamine is used to yield 2-[(2,3,5,6-tetramethylphenyl)amino]5′-chlorophenylacetic acid.
EXAMPLE 35
Synthesis of 2-[(2,6-diethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,6-diethylaniline to yield 2-[(2,6-diethylphenyl)amino]phenylacetic acid.
EXAMPLE 36
Synthesis of 2-[(2,4-difluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 2,4-difluoroaniline to yield 2-[(2,4-difluorophenyl)amino]phenylacetic acid.
EXAMPLE 37
Synthesis of 2-[(2,6-difluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid was condensed with 2,6-difluoroaniline to yield 2-[(2,6-difluorophenyl)amino]phenylacetic acid.
EXAMPLE 38
Synthesis of 2-[(2,6-dichloro-3-methoxy-4-benzyloxyphenyl)amino]phenylacetic Acid
In the manner described in example 23, 2,6-dichloro-3-methoxy-4-benzyloxydiphenylamine was used to yield 2-[(2,6-dichloro-3-methoxy-4-benzyloxyphenyl)amino]phenylacetic acid.
EXAMPLE 39
Synthesis of 2-[(2,6-dichloro-3-methoxy-4-hydroxyphenyl)amino]phenylacetic Acid
The 2-[(2,6-dichloro-3-methoxy-4-benzyloxyphenyl)amino]phenylacetic acid (10 g) from example 38 was hydrogenated with Pd—C (1 g, 5%) in tetrahydrofuran (100 ml) and 1,2-dichlorobenzene (10 ml) at normal pressure for 25 min at room temperature. The catalyst was removed by filtration, and the filtrate was evaporated to leave the final product 2-[(2,6-dichloro-3-methoxy-4-hydroxyphenyl) amino]phenylacetic acid.
EXAMPLE 40
Synthesis of 2-[(2,6-dichlorophenyl)amino]6′-methoxyphenylacetic Acid
In the manner described in example 23, 5-methoxy-2′,6′-dichlorodiphenylamine was used to yield 2-[(2,6-dichlorophenyl)amino]6′-methoxyphenylacetic acid.
EXAMPLE 41
Synthesis of 2-[(2,6-dichlorophenyl)amino]6′-hydroxyphenylacetic Acid
In the manner described in example 24, 2-[(2,6-dichlorophenyl)amino]6′-methoxyphenylacetic acid was converted to 2-[(2,6-dichlorophenyl)amino]6′-hydroxyphenylacetic acid.
EXAMPLE 42
Synthesis of 2-[(2,6-dichloro-3-benzyloxy-4-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 23, 2,6-dichloro-3-benzyloxy-4-methoxydiphenylamine was used to yield 2-[(2,6-dichloro-3-benzyloxy-4-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 43
Synthesis of 2-[(2,6-dichloro-3-hydroxy-4-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 39, 2-[(2,6-dichloro-3-benzyloxy-4-methoxyphenyl)amino] phenylacetic acid was converted to 2-[(2,6-dichloro-3-hydroxy-4-methoxyphenyl)amino] phenylacetic acid.
EXAMPLE 44
Synthesis of 2-[(2,6-dichloro-4-methoxyphenyl)amino]5′-methoxyphenylacetic Acid
In the manner described in example 23, 4-methoxy-2′,6′-dichloro-4′-methoxydiphenylamine is used to yield 2-[(2,6-dichloro-4-methoxyphenyl)amino]5′-methoxyphenylacetic acid.
EXAMPLE 45
Synthesis of 2-[(2,6-dichloro-4-hydroxyphenyl)amino]5′-hydroxyphenylacetic Acid
In the manner described in example 24, 2-[(2,6-dichloro-4-methoxyphenyl)amino]5′-methoxyphenylacetic acid was converted to 2-[(2,6-dichloro-4-hydroxyphenyl)amino]5′-hydroxyphenylacetic acid.
EXAMPLE 46
Synthesis of 2-[(2-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with o-anisidine to yield 2-[(2-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 47
Synthesis of 2-[(3-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with m-anisidine to yield 2-[(3-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 48
Synthesis of 2-[(4-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with p-anisidine to yield 2-[(4-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 49
Synthesis of 2-[(2-hydroxyphenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(2-methoxyphenyl)amino]phenylacetic acid is converted to 2-[(2-hydroxyphenyl)amino]phenylacetic acid.
EXAMPLE 50
Synthesis of 2-[(3-hydroxyphenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(3′-methoxyphenyl)amino]phenylacetic acid is converted to 2-[(3-hydroxyphenyl)amino]phenylacetic acid.
EXAMPLE 51
Synthesis of 2-[(4-hydroxyphenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(4-methoxyphenyl)amino]phenylacetic acid is converted to 2-[(4-hydroxyphenyl)amino]phenylacetic acid.
EXAMPLE 52
Synthesis of 2-[(3-chloro-4-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-chloro-4-methoxyaniline to yield 2-[(3-chloro-4-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 53
Synthesis of 2-[(3-chloro-4-hydroxyphenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(3-chloro-4-methoxyphenyl)amino]phenylacetic acid is converted to 2-[(3-chloro-4-hydroxyphenyl)amino]phenylacetic acid.
EXAMPLE 54
Synthesis of 2-[(2-methoxy-5-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-methoxy-5-chloroaniline to yield 2-[(2-methoxy-5-chlorophenyl)amino]phenylacetic acid.
EXAMPLE 55
Synthesis of 2-[(2-hydroxy-5-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(2-methoxy-5-chlorophenyl)amino]phenylacetic acid is converted to 2-[(2-hydroxy-5-chlorophenyl)amino]phenylacetic acid.
EXAMPLE 56
Synthesis of 2-[(3-methoxy-6-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-methoxy-6-chloroaniline to yield 2-[(3-methoxy-6-chlorophenyl)amino]phenylacetic acid.
EXAMPLE 57
Synthesis of 2-[(3-hydroxy-6-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(3-methoxy-6-chlorophenyl)amino]phenylacetic acid is converted to 2-[(3-hydroxy-6-chlorophenyl)amino]phenylacetic acid.
EXAMPLE 58
Synthesis of 2-[(2-methoxy-3-fluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-methoxy-3-fluoroaniline to yield 2-[(2-methoxy-3-fluorophenyl)amino]phenylacetic acid.
EXAMPLE 59
Synthesis of 2-[(2-hydroxy-3-fluorophenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(2-methoxy-3-fluorophenyl)amino]phenylacetic acid is converted to 2-[(2-hydroxy-3-fluorophenyl)amino]phenylacetic acid.
EXAMPLE 60
Synthesis of 2-[(3-fluoro-4-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-fluoro-4-methoxyaniline to yield 2-[(3-fluoro-4-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 61
Synthesis of 2-[(3-fluoro-4-hydroxyphenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(3-fluoro-4-methoxyphenyl)amino]phenylacetic acid is converted to 2-[(3-fluoro-4-hydroxyphenyl)amino]phenylacetic acid.
EXAMPLE 62
Synthesis of 2-[(2-methoxy-4-nitrophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-methoxy-4-nitroaniline to yield 2-[(2-methoxy-4-nitrophenyl)amino]phenylacetic acid.
EXAMPLE 63
Synthesis of 2-[(2-hydroxy-4-nitrophenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(2-methoxy-4-nitrophenyl)amino]phenylacetic acid is converted to 2-[(2-hydroxy-4-nitrophenyl)amino]phenylacetic acid.
EXAMPLE 64
Synthesis of 2-[(2-methoxy-5-nitrophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-methoxy-5-nitroaniline to yield 2-[(2-methoxy-5-nitrophenyl)amino]phenylacetic acid.
EXAMPLE 65
Synthesis of 2-[(2-hydroxy-5-nitrophenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(2-methoxy-5-nitrophenyl)amino]phenylacetic acid is converted to 2-[(2-hydroxy-5-nitrophenyl)amino]phenylacetic acid.
EXAMPLE 66
Synthesis of 2-[(2-nitro-4-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-nitro-4-methoxyaniline to yield 2-[(2-nitro-4-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 67
Synthesis of 2-[(2-nitro-4-hydroxyphenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(2-nitro-4-methoxyphenyl)amino]phenylacetic acid is converted to 2-[(2-nitro-4-hydroxyphenyl)amino]phenylacetic acid
EXAMPLE 68
Synthesis of 2-[(2-nitro-4-ethoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-nitro-4-ethoxyaniline to yield 2-[(2-nitro-4-ethoxyphenyl)amino]phenylacetic acid.
EXAMPLE 69
Synthesis of 2-[(3-methoxy-5-(trifluoromethyl)phenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-methoxy-5-(trifluoromethyl)aniline to yield 2-[(3-methoxy-5-(trifluoromethyl)phenyl)amino]phenylacetic acid.
EXAMPLE 70
Synthesis of 2-[(3-hydroxy-5-(trifluoromethyl)phenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(3-methoxy-5-(trifluoromethyl)phenyl)amino] phenylacetic acid is converted to 2-[(3-hydroxy-5-(trifluoromethyl)phenyl)amino]phenylacetic acid.
EXAMPLE 71
Synthesis of 2-[(2-ethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-ethylaniline to yield 2-[(2-ethylphenyl)amino]phenylacetic acid.
EXAMPLE 72
Synthesis of 2-[(3-ethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-ethylaniline to yield 2-[(3-ethylphenyl)amino]phenylacetic acid.
EXAMPLE 73
Synthesis of 2-[(4-ethylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-ethylaniline to yield 2-[(4-ethylphenyl)amino]phenylacetic acid.
EXAMPLE 74
Synthesis of 2-[(2-bromophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-bromoaniline to yield 2-[(2-bromophenyl)amino]phenylacetic acid.
EXAMPLE 75
Synthesis of 2-[(3-bromophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-bromoaniline to yield 2-[(3-bromophenyl)amino]phenylacetic acid.
EXAMPLE 76
Synthesis of 2-[(4-bromophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-bromoaniline to yield 2-[(4-bromophenyl)amino]phenylacetic acid.
EXAMPLE 77
Synthesis of 2-[(2-fluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-fluoroaniline to yield 2-[(2-fluorophenyl)amino]phenylacetic acid.
EXAMPLE 78
Synthesis of 2-[(3-fluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-fluoroaniline to yield 2-[(3-fluorophenyl)amino]phenylacetic acid.
EXAMPLE 79
Synthesis of 2-[(4-fluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-fluoroaniline to yield 2-[(4-fluorophenyl)amino]phenylacetic acid.
EXAMPLE 80
Synthesis of 2-[(2-iodophenyl amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-iodoaniline to yield 2-[(2-iodophenyl)amino]phenylacetic acid.
EXAMPLE 81
Synthesis of 2-[(3-iodophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-iodoaniline to yield 2-[(3-iodophenyl)amino]phenylacetic acid.
EXAMPLE 82
Synthesis of 2-[(4-iodophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-iodoaniline to yield 2-[(4-iodophenyl)amino]phenylacetic acid.
EXAMPLE 83
Synthesis of 2-[(2-nitrophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-nitroaniline to yield 2-[(2-nitrophenyl)amino]phenylacetic acid.
EXAMPLE 84
Synthesis of 2-[(3-nitrophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-nitroaniline to yield 2-[(3-nitrophenyl)amino]phenylacetic acid.
EXAMPLE 85
Synthesis of 2-[(4-nitrophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-nitroaniline to yield 2-[(4-nitrophenyl)amino]phenylacetic acid.
EXAMPLE 86
Synthesis of 2-[(3,4-difluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3,4-difluoroaniline to yield 2-[(3,4-difluorophenyl)amino]phenylacetic acid.
EXAMPLE 87
Synthesis of 2-[(3,5-difluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3,5-difluoroaniline to yield 2-[(3,5-difluorophenyl)amino]phenylacetic acid.
EXAMPLE 88
Synthesis of 2-[(2,5-difluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,5-difluoroaniline to yield 2-[(2,5-difluorophenyl)amino]phenylacetic acid.
EXAMPLE 89
Synthesis of 2-[(2,3-difluorophenyl)amino]phenylacetic Acid
In the manner described in example 3 2-bromophenylacetic acid is condensed with 2,3-difluoroaniline to yield 2-[(2,3-difluorophenyl)amino]phenylacetic acid.
EXAMPLE 90
Synthesis of 2-[(2,4-dibromophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,4-dibromoaniline to yield 2-[(2,4-dibromophenyl)amino]phenylacetic acid.
EXAMPLE 91
Synthesis of 2-[(2,5-dibromophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,5-dibromoaniline to yield 2-[(2,5-dibromophenyl)amino]phenylacetic acid.
EXAMPLE 92
Synthesis of 2-[(2,6-dibromophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,6-dibromoaniline to yield 2-[(2,6-dibromophenyl)amino]phenylacetic acid.
EXAMPLE 93
Synthesis of 2-[(3-chloro-4-fluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-chloro-4-fluoroaniline to yield 2-[(3-chloro-4-fluorophenyl)amino]phenylacetic acid.
EXAMPLE 94
Synthesis of 2-[(2-fluoro-4-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-fluoro-4-chloroaniline to yield 2-[(2-fluoro-4-chlorophenyl)amino]phenylacetic acid.
EXAMPLE 95
Synthesis of 2-[(3-nitro-4-chlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-nitro-4-chloroaniline to yield 2-[(3-nitro-4-chlorophenyl)amino]phenylacetic acid.
EXAMPLE 96
Synthesis of 2-[(2-fluoro-5-nitrophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-fluoro-5-nitroaniline to yield 2-[(2-fluoro-5-nitrophenyl)amino]phenylacetic acid.
EXAMPLE 97
Synthesis of 2-[(3-nitro-4-fluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-nitro-4-fluoroaniline to yield 2-[(3-nitro-4-fluorophenyl)amino]phenylacetic acid.
EXAMPLE 98
Synthesis of 2-[(2-fluoro-4-iodophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-fluoro-4-iodoaniline to yield 2-[(2-fluoro-4-iodophenyl)amino]phenylacetic acid.
EXAMPLE 99
Synthesis of 2-[(3,5-dinitrophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3,5-dinitroaniline to yield 2-[(3,5-dinitrophenyl)amino]phenylacetic acid.
EXAMPLE 100
Synthesis of 2-[(2-fluoro-4-bromophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2-fluoro-4-bromoaniline to yield 2-[(2-fluoro-4-bromophenyl)amino]phenylacetic acid.
EXAMPLE 101
Synthesis of 2-[(2,3,4-trifluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,3,4-trifluoroaniline to yield 2-[(2,3,4-trifluorophenyl)amino]phenylacetic acid.
EXAMPLE 102
Synthesis of 2-[(3,4,5-trichlorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3,4,5-trichloroaniline to yield 2-[(3,4,5-trichlorophenyl)amino]phenylacetic acid.
EXAMPLE 103
Synthesis of 2-[(2,4,5-triflourophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,4,5-triflouroaniline to yield 2-[(2,4,5-triflourophenyl)amino]phenylacetic acid.
EXAMPLE 104
Synthesis of 2-[(2,3,4,6-tetrafluorophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 2,3,4,6-tetrafluoroaniline to yield 2-[(2,3,4,6-tetrafluorophenyl)amino]phenylacetic acid.
EXAMPLE 105
Synthesis of 2-[(3-methyl-4-bromophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-methyl-4-bromoaniline to yield 2-[(3-methyl-4-bromophenyl)amino]phenylacetic acid.
EXAMPLE 106
Synthesis of 2-[(3-bromo-4-methylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-bromo-4-methylaniline to yield 2-[(3-bromo-4-methylphenyl)amino]phenylacetic acid.
EXAMPLE 107
Synthesis of 2-[(3-fluoro-4-methylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-fluoro-4-methylaniline to yield 2-[(3-fluoro-4-methylphenyl)amino]phenylacetic acid.
EXAMPLE 108
Synthesis of 2-[(3-methylmercaptophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-methylmercaptoaniline to yield 2-[(3-methylmercaptophenyl)amino]phenylacetic acid.
EXAMPLE 109
Synthesis of 2-[(4-methylmercaptophenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-methylmercaptoaniline to yield 2-[(4-methylmercaptophenyl)amino]phenylacetic acid.
EXAMPLE 110
Synthesis of 2-[(3-nitro-4-methylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3-nitro-4-methylaniline to yield 2-[(3-nitro-4-methylphenyl)amino]phenylacetic acid.
EXAMPLE 111
Synthesis of 2-[(3,5-methoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3,5-methoxyaniline to yield 2-[(3,5-methoxyphenyl)amino]phenylacetic acid.
EXAMPLE 112
Synthesis of 2-[(3,5-hydroxyphenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(3,5-methoxyphenyl)amino]phenylacetic acid is converted to 2-[(3,5-hydroxyphenyl)amino]phenylacetic acid
EXAMPLE 113
Synthesis of 2-[(4-propylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-propylaniline to yield 2-[(4-propylphenyl)amino]phenylacetic acid.
EXAMPLE 114
Synthesis of 2-[(4-isopropylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-isopropylaniline to yield 2-[(4-isopropylphenyl)amino]phenylacetic acid.
EXAMPLE 115
Synthesis of 2-[(3,4,5-trimethoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 3,4,5-trimethoxyaniline to yield 2-[(3,4,5-trimethoxyphenyl)amino]phenylacetic acid.
EXAMPLE 116
Synthesis of 2-[(3,4,5-trihydroxyphenyl)amino]phenylacetic Acid
In the manner described in example 24, 2-[(3,4,5-trimethoxyphenyl)amino]phenylacetic acid is converted to 2-[(3,4,5-trihydroxyphenyl)amino]phenylacetic acid.
EXAMPLE 117
Synthesis of 2-[(4-butylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-butylaniline to yield 2-[(4-butylphenyl)amino]phenylacetic acid.
EXAMPLE 118
Synthesis of 2-[(4-butoxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-butoxyaniline to yield 2-[(4-butoxyphenyl)amino]phenylacetic acid.
EXAMPLE 119
Synthesis of 2-[(4-pentylphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-pentylaniline to yield 2-[(4-pentylphenyl)amino]phenylacetic acid.
EXAMPLE 120
Synthesis of 2-[(4-pentyloxyphenyl)amino]phenylacetic Acid
In the manner described in example 3, 2-bromophenylacetic acid is condensed with 4-pentyloxyaniline to yield 2-[(4-pentyloxyphenyl)amino]phenylacetic acid.
EXAMPLE 121
Anti-Glycation Activity of 2-(phenylamino)phenylacetic acids
Human albumin (10 mg/ml) was incubated for 48-144 hours at 37° C. in the presence of 0-50 mM glucose in buffered saline, without or with the test compound in varying concentrations (1-1000 μM). After dialysis to remove free glucose and compound, the amount of glycated albumin formed was determined by enzyme-linked immunosorbent assay using the monoclonal antibodies known to specifically react with Amadori-glucose adducts in glycated albumin and to be unreactive with the nonglycated protein. The presence of glucose in the incubations promotes the nonenzymatic glycation of albumin, and the performance of paired incubations allows comparison of the amount of glycated albumin formed under control (0 glucose), stimulated (25-50 mM glucose), and inhibited (compound plus glucose) conditions. From these data, the IC50 (concentration required for 50% inhibition) for glycation inhibition was calculated. The IC50 (μM) for inhibition of glycation by a representative sample of 2-(phenylamino)phenylacetic acid compounds is shown in Table 2.
TABLE 2
Prevention of Albumin Glycation by 2-(phenylamino)
phenylacetic acids
Example Glycation Inhibition
# IC50 (μM)
3 155
4 10
5 50
6 11
8 63
10 6.3
11 2.5
13 112
EXAMPLE 122
Cyclo-oxygenase Inhibitory Activity of 2-(phenylamino)phenylacetic Acids
Cellular homogenates of bovine seminal vesicles were incubated with arachidonic acid and the production of prostaglandins was monitored. The effect of test compound on the conversion of arachidonic acid to prostaglandin E2 was measured after incubation for 1-30 minutes in buffer containing the cofactors hematin and phenol. Compounds were tested in varying concentration (1-1000 μM) and the data used to calculate the IC50 for cyclo-oxygenase inhibition. The cyclo-oxygenase-inhibitory activity of representative 2-(phenylamino)phenylacetic acids is presented in Table 3.
TABLE 3
COX Inhibitory Activity of 2-(phenylamino) phenylacetic acids.
Example COX Inhibition
# IC50 (μM)
3 288
4 42
5 600
6 98
8 71
10 1
11 141
13 6
EXAMPLE 123
Relative Anti-Glycation versus Cyclo-Oxygenase Inhibitory Activity
It was determined from the ratio of 6.3 of the IC50 of glycation to cyclo-oxygenase inhibitory activities of 2-(2,6-dichlorophenylamino)phenylacetic acid that an anti-glycation: cyclo-oxygenase inhibition IC50 ratio less than 2 would provide a favorable therapeutic profile in which therapeutic concentrations achieving significant anti-glycation activity would have insignificant cyclo-oxygenase inhibitory activity. The anti-glycation: cyclo-oxygenase inhibition ratio of representative 2-(phenylamino)phenylacetic acids is shown in Table 4.
TABLE 4
Example Antiglycation IC50 versus
# COX Inhibition IC50
3 0.54
4 0.24
5 0.08
6 0.11
8 0.90
10 6.3
11 0.02
13 19.0
EXAMPLE 124
Prevention of Albumin Glycation in vivo by a Administration of 2-(phenylamino) phenylacetic Acids.
Mice were administered 3 to 10 mg/kg of 2-(2-chlorophenyl amino) phenylacetic acid or 2-(3-chlorophenylamino) phenylacetic acid, given in divided doses by intraperitoneal injection for 5 days. Blood was taken before the initiation of treatment and four hours after the last dosing at the conclusion of the treatment. After centrifugation to separate plasma from red cells, the plasma concentration of glycated albumin was determined by enzyme-linked immunosorbent assay using the monoclonal antibodies described in Example 1. As shown below, all of the 2-(phenylamino)phenylacetic acids tested produced a dose-related reduction in plasma glycated albumin concentrations.
Glycated Albumin (μg/ml)
Percent
Dose Pre-treatment Post-treatment change
2-(3-chlorophenylamino)
phenylacetic acid
 5 mg/kg/day 854 697 −18.4
10 mg/kg/day 647 352 −45.6
2-(2-chlorophenylamino)
phenylacetic acid
 5 mg/kg/day 741 500 −32.5
10 mg/kg/day 815 426 −47.7
2-(2,6-dichlorophenylamino)
phenylacetic acid
 3 mg/kg/day 841 760 −9.6
 6 mg/kg/day 946 690 −27.1
EXAMPLE 125
Lowering Glycated Albumin with 2-(phenylamino)phenyl Acetic Acid Compounds Ameliorates Glycation-Related Pathology
Mice were treated for 8 weeks with 10 mg/kg/day of 2-(3-chlorophenylamino) phenylacetic acid in divided doses. Urine samples were obtained at the initiation and termination of treatment for examination of protein excretion, which measures vascular dysfunction that is associated with glycation-related pathology As shown below, the reduction in glycated albumin was associated with a reduction in urine protein excretion.
Urine protein
μg/24 hrs
Initiation 7.6
Termination 2.7
EXAMPLE 126
Therapeutic Composition/Treatment
A. Tablet
A typical tablet contains 2-[(2-chlorophenyl)amino]phenylacetic acid (100 mg), pregelatirlized starch USP (82 mg), microcrystalline cellulose (82 mg), and magnesium stearate (1 mg). In like manners, for example, 2-[(3-chlorophenyl)amino]phenylacetic acid can be formulated in place of 2-[(2-chlorophenyl)amino]phenyl acetic acid.
B. Liquid
A typical liquid contains 2-[(2-chlorophenyl)amino]phenylacetic acid (50 mg), sodium phosphate dibasic (50 mg), ethyl alcohol (0.5 ml), water (5 ml) and sweetening and/or flavoring agents. Similarly, other formulations can be made by substituting, for example, 2-[(3-chlorophenyl) amino]phenylacetic acid for 2-[(2-chlorophenyl)amino]phenylacetic acid.
C. Injection
A typical injectable formulation contains 2-[(2-chlorophenyl)amino]phenylacetic acid (25 mg) sodium phosphate dibasic (11.4 mg), benzyl alcohol (0.01 ml) and water for injection (1 ml). Similarly, this formulation can be prepared employing, for example, 2-[(3 chlorophenyl)amino] phenylacetic acid in place of 2-[(2 chlorophenyl)amino]phenylacetic acid.
D. Suppositories
Typical suppository formulations can contain 2-[(2 chlorophenyl)amino]phenylacetic acid (50 mg) butylated hydroxyanisol (0.1-1.0 mg), disodium calcium edetate (0.25-0.50 mg), and polyethyleneglycol (775-1600 mg). Other suppository formulations can be made by substituting, for example, 2-[(3-chlorophenyl)amino]phenylacetic acid for 2-[(2-chlorophenyl)amino]phenylacetic acid and by substituting, for example, butylated hydroxytoluene (0.04-0.08 mg) for the disodium calcium edetate and a hydrogenated vegetable oil (678-1400 mg), such as Suppocire L, Wecobee FS, Wecobee M, Witepsols, and the like, for the polyethylene glycol.

Claims (9)

I claim:
1. A therapeutic composition comprising a pharmaceutically acceptable carrier and a compound selected from those having the following structure:
Figure US06552077-20030422-C00009
wherein:
R′3, R′4, R′5, R′6, R2, R3, R4, R5, and R6 are the same or different and are hydrogen, chlorine, bromine, fluorine, iodine, ethyl, ethoxy, methoxy, hydroxy, phosphate, sulfate, nitrate, amino or ethyl, and R2 and R6 are both not chlorine when R′3, R′4, R′5, R′6, R3, R4 and R5 are hydrogen; X is hydrogen, sodium, potassium or lithium.
2. A therapeutic composition comprising a pharmaceutically acceptable carrier and a compound of claim 1 that inhibits the formation of glucose adducts on albumin.
3. A therapeutic composition comprising a pharmaceutically acceptable carrier and 2-[(3-chlorophenyl) amino] phenylacetic acid.
4. A method of treating a living being who has or is at risk for vascular dysfunction as manifest by abnormal urine albumin excretion comprising the steps of administering to the living being a therapeutically effective amount of a therapeutic composition of claim 1.
5. A method of treating a living being who has or is at risk for vascular dysfunction as manifest by abnormal urine albumin excretion comprising the steps of administering to the living being a therapeutically effective amount of a therapeutic composition of claim 1, wherein said composition inhibits the formation of glucose adducts on one or more residues of albumin defined by a monoclonal antibody produced by the cell line ATTC HB 9596.
6. A method of treating a living being who has or is at risk for vascular dysfunction comprising the steps of administering to the living being a therapeutically effective amount of a therapeutic composition of claim 2.
7. A method of treating a living being who has or is at risk for vascular dysfunction comprising the steps of administering to the living being a therapeutically effective amount of a therapeutic composition of claim 3.
8. A therapeutic composition comprising a pharmaceutically acceptable carrier and 2-[(2-chlorophenyl) amino] phenyl acetic acid.
9. A method of treating a living being who has or is at risk for vascular dysfunction comprising the steps of administering to the living being a therapeutically effective amount of a therapeutic composition of claim 8.
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US7906677B2 (en) 1999-09-27 2011-03-15 Novartis Ag Process for phenylacetic acid derivatives
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US20010034359A1 (en) 2001-10-25
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ATE298568T1 (en) 2005-07-15
WO2001003684A3 (en) 2002-06-06
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KR20020033725A (en) 2002-05-07
JP4833468B2 (en) 2011-12-07
CA2378456A1 (en) 2001-01-18
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DE60021113D1 (en) 2005-08-04
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